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Home My WebLink About2016-00044 (Windows & Doors) ' CITY OF ORONO * z 0 1 6 — 0 0 0 4 4 * 2750 KELLEY PARKWAY DATE ISSUED: OU14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1396 BALDUR PARK RD PIN : 08-117-23-31-0002 LEGAL DESC : BALDUR PARK : LOT 016 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LINDEFINED VALUATION : $ 14,000.00 NOTE: REPLACE(5)WINDOWS AND(1)PATIO DOOR APPLICANT PERMIT FEE SCHEDULE 263.28 STATE SURCHARGE(VALUATION) 7.00 SELA ROOFING&REMODELING, INC. TOTAL 270.28 4100 EXCESIOR BLVD ST. LOUIS PARK,MN 55416- Payment(s) (952)915-7227 270.28 Minnesota State License#: BUIL-BC1050 OWNER SCHROEDER, MIKE&KATIE 1396 BALDUR PARK RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whe[her or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all reqaired inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � jW� �(e ll� 1�'�� / � � �i/� pplicant Permitee ignature Date Issued Signature Date a � ✓�P✓�T / City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. window�, door�, sicli�g, ��m��ofi, e��. � ��O ��9��'�J�� A��10�!) �O�O Mailing Address: Permit number: l -� PO Box 66 Crystal Bay, MN 55323-0066 Date received: �`/ � Street Address: Received by: � �'.�, � 2750 Kelley Parkway Plan review fee: / t � Orono, MN 55356 qk6S H�� Total Fee: /� � � �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us J` � �� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: 1 ('� �/� �/�� , Job Site Address: (3 VvC_I�-_ - ��C!►_ -_ _ ___ - - ---- ---- _ _ _ _ __ --- - - - -- - --- ---- ---- --- _ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus s rv e will be required unless applicant demonstrates sutficient on-site parking is available. Non-permitted evenfs will not 6e allowed. CONTRACTOR/APPLICANT I FORMATION: Name: se1� � � � state �icense# �dD�O� � Expiration Date: �l3( � �� Lead Certification Number: N f�� t$�-� Expiration Date: ��j (for work on homes that were constructed prior to 9978 Phone: �(��1� G1V�2 ' ��(,Q (office) �� Qf��j � ��°�"(.� Mailing Address: � �� (�V � � City: �,}.� �,��5 �y< ZIP:��!�.-1(� Contact Person: ��, Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: �j�_C.�2�. PROPERTY OWNER INFORM TIO • Name: Phone(day): . . Address: j City: ZIP: 3 Email and/or Fax: PROJECT INFORMATION: Overall project description: f`(% UI,W � ' C Il/�VWv � � ��/��V ""�� Ty of Project: Any earth movement may also require Door(s) ❑ Remodel ❑Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ / APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which gen rally cannot be given to the public but can be given to the subject of the data. --Sortfrdentiaf-data-is-ittformatiorrwh' t��r C rt ot`b-e"giv�ll�t�itYt�"th�"�StTb`iP`c�Y`tt�`e�'p�j��"`�P�Che clata:Ou"r p r"�7'pose and` � intended use of this inf r a ' o ann�al p�ate our records and records of other governmental agencies required by law. If ou refuse to suppl e i rma��on the lica•�Qn a {�ot be issued. ! Applicant's Signature: , , ,- - -- `� Date: Owner's Signature: � Date: Last Updated:January 2015 `� i Y � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED -9��(� � PERMIT NO. ��f 1�- C�� COMPLETED ADDRESS 1 ,7j �I � //�C t '�"�l �� j� � OWNER TEL�H E NO. �`�r� ' � �J�� ^�' CONTRACTOR ��' �� !� CY�' � DESCRIPTION � �t--� I �'1 c�,l �`�,�`� `f--� � ��c� � , ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OYYNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O ). � O � W � Q � 2 W � W 2 � J d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISS E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS_ ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOF ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. 249-46�� Owner►Contractor on site: Inspector. White CopyAnspector's File Canary CopylSite Notice